SMITHTOWN FAMILY HEALTH NP PC (NPI# 1215560776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215560776 |
| Entity Type | Organization |
| Organization Name | SMITHTOWN FAMILY HEALTH NP PC |
| Practice Address |
300 E Main St Smithtown NY 11787-2900 |
| Mailing Address |
665 Treehouse Cir St Augustine FL 32095-6837 |
| Practice Telephone | 9046542410 |
| Practice Fax Number | 9044177177 |
| Mailing Telephone | 9046542410 |
| Mailing Fax Number | 9044177177 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | DR. EDWARD TANZA (EXECUTIVE) |
| Authorized Official Telephone | 9046542410 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 E MAIN ST |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130201 | Vanessa Forbes | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2014-11-03 |
| 1740552942 | Branch Pediatrics and Adolescent Group P.C. | Pediatrics | 300 E Main St, Suite 4/5, Smithtown, NY 11787-2900 | 2012-02-02 |
| 1215266515 | Judith Murphy | Nurse Practitioner | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-12-15 |
| 1306088067 | Michael Robert Stern | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-03-27 |
| 1588803852 | Robin Mitrani | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2009-02-11 |
| 1588802292 | Long Island Vascular and Endovascular Surgery PC | Surgery | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 | 2009-02-03 |
| 1114178902 | Yvonne A Mudaro | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2008-10-10 |
| 1427210244 | Sultan Mohiuddin Md PC | Specialist | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 | 2008-07-02 |
| 1255531000 | Mary Ann Flynn Gameng | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2007-07-19 |
| 1659409332 | Smithtown Hearing Services Inc | Clinic/Center | 300 E Main St, Smithtown, NY 11787-2900 | 2007-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1144760810 | Colleen Danielle Cole | Nurse Practitioner | 329 E Main St Ste 9, Smithtown, NY 11787-2831 | 2017-03-01 |
| 1720538143 | Rose Emeline Cesaire | Nurse Practitioner | 373 Route 111 Ste 14, Smithtown, NY 11787-4759 | 2016-10-10 |
| 1255731501 | Keisha Antoinette Mahoney | Nurse Practitioner | 20 Steven Pl, Smithtown, NY 11787-5423 | 2014-08-23 |
| 1811262199 | Rita Romano | Nurse Practitioner | 1045 W Jericho Tpke, Smithtown, NY 11787-3205 | 2012-03-20 |
| 1912964990 | Mona G Rechner | Nurse Practitioner | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2006-04-26 |
| 1134752355 | Katelin Tambasco | Nurse Practitioner | 260 E Middle Country Rd, Smithtown, NY 11787-2982 | 2020-02-17 |
| 1215569041 | Smithtown Family Wellness Np PC | Nurse Practitioner | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2020-02-10 |
| 1972088342 | Victoria Behan | Nurse Practitioner | 50 New York Ave # 25a, Smithtown, NY 11787-3448 | 2018-10-01 |
| 1013402932 | Rachel Anne Demaio | Nurse Practitioner | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2018-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.